# FRANCISCO G TUDELA M.D PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265733430
- **Authorized official:** MR. FRANCISCO G TUDELA JR. M.D (OWNER)
- **Authorized official phone:** (305) 691-1171

## Contact information

- **Practice address:** 777 E 25TH ST STE 106, HIALEAH, FL 33013-3804
- **Practice address phone:** (305) 691-1171
- **Practice address fax:** (305) 693-6726
- **Mailing address:** 777 E 25TH ST STE 106, HIALEAH, FL 33013-3804
- **Mailing address phone:** (305) 691-1171
- **Mailing address fax:** (305) 693-6726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | ME36365 | FL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2010
- **Last updated:** 11/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 058554800 | — | FL |
| 01 | — | 1190HILH | NHP | FL |
| 01 | — | 209384 | AVMED | FL |
| 01 | — | 95746 | BCBS ID \# | FL |